| NPI | 1730507609 |
|---|---|
| Other Name | CHEMICAL DEPENDENCY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILLIAMS CAO 406-457-4822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X (Licence: MT 303) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-08-08 |